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Anorexia Nervosa: Focal Psychodynamic Psychotherapy 2019 [Minkštas viršelis]

3.50/5 (5 ratings by Goodreads)
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  • Formatas: Paperback / softback, 144 pages, aukštis x plotis: 228x152 mm
  • Išleidimo metai: 30-Jan-2019
  • Leidėjas: Hogrefe Publishing
  • ISBN-10: 0889375542
  • ISBN-13: 9780889375543
Kitos knygos pagal šią temą:
Anorexia Nervosa: Focal Psychodynamic Psychotherapy 2019Didesnis paveikslėlis
  • Formatas: Paperback / softback, 144 pages, aukštis x plotis: 228x152 mm
  • Išleidimo metai: 30-Jan-2019
  • Leidėjas: Hogrefe Publishing
  • ISBN-10: 0889375542
  • ISBN-13: 9780889375543
Kitos knygos pagal šią temą:
Pastovi nuoroda: https://www.kriso.lt/db/9780889375543.html
Raktažodžiai:
This manual presents an evidence-based focal psychodynamic approach for the outpatient treatment of adults with anorexia nerrvosa, which has been shown to produce lasting changes for patients. The reader first gains a thorough understanding of the general models and theories of anorexia nervosa. The book then describes in detail a three-phase treatment using focal psychodynamic psychotherapy. It provides extensive hands-on tips, including precise assessment of psychodynamic themes and structures using the Operationalized Psychodynamic Diagnosis, real-life case studies, and clinical pearls. Clinicians also learn how to identify and treat typical ego structural deficits in the areas of affect experience and differentiation, impulse control, self-worth regulation, and body perception. Two detailed case vignettes provide deepened insight into the therapeutic process. A final chapter explores the extensive empirical studies on which this manual is based, in particular the renowned multicenter ANTOP study. Printable tools in the appendices can be used in daily practice. This book is of interest to clinical psychologists, psychotherapists, psychiatrists, counsellors, and students.

Daugiau informacijos

"This book provides scientific evidence for an approach that has a long-term impact on one of the most vexing psychiatric problems - anorexia nervosa. Anybody working or wanting to learn to work with these patients should read this.; Jacques P. Barber, PhD, ABPP, Professor and Dean of Gordon F. Derner School of Psychology at Adelphi University, NY, USA; This volume describes an approach to anorexia nervosa that has been validated by controlled investigations. It is rich of practical details that make it useful to the clinician dealing with these patients."; Giovanni A. Fava, MD, in Psychotherapy and Psychosomatics, September 2019;

Anorexia nervosa is the most lethal of all mental illnesses, with a mortality rate in excess of 16%. The authors describe the design and the results of the landmark ANTOP study the first large-scale, randomized controlled trial assessing different psychotherapeutic approaches to the treatment of anorexia [that] provided evidence for the efficacy of brief psychodynamic psychotherapy in anorexia treatment.





Psychodynamic psychotherapy for eating disorders is not commonly used in North America practitioners will find this book an informative description of another evidence-based therapeutic modality. Throughout the book, the authors provide many clinical vignettes to illustrate their points. Each phase of the treatment is clearly described.





I have used insights from this book to provide a fresh approach when treating a patient with anorexia who has not responded to other forms of treatment. Cognitive Behavioural Therapy for Eating Disorders (CBT-E) is the standard. However, many patients with anorexia have already been through CBT treatment, and are reluctant to continue with this approach. The psychodynamic approach has a particular focus on building the therapeutic alliance in the early stages of treatment.





The authors have both research and clinical expertise in the treatment of anorexia and are leading experts in brief psychodynamic psychotherapy. This book represents a fascinating introduction to a therapeutic modality that many North American clinicians have never studied would be a valuable resource for any clinician who treats this complex disorder.

Reviewed by Karen Trollope-Kumar, MD, PhD, CCFP, in Medical Psychotherapy Review, 27/1 (2020)
Foreword v
Preface ix
1 Description of the Disorder
1(14)
1.1 Description
1(1)
1.2 Definition
1(5)
1.3 Epidemiological and Sociodemographic Data
6(1)
1.4 Predisposing Factors
7(1)
1.5 Course and Prognosis
8(1)
1.6 Differential Diagnoses
9(2)
1.6.1 Psychological Differential Diagnoses
9(1)
1.6.2 Medical Differential Diagnoses
10(1)
1.7 Comorbidity
11(1)
1.8 Diagnostic Instruments and Documentation
12(3)
2 Theories and Models
15(8)
2.1 Psychodynamic Understanding
15(4)
2.1.1 The Intrapsychic Dynamic
15(2)
2.1.2 The Interpersonal Dynamic
17(2)
2.2 Concepts of the Cognitive Behavior Theory Model
19(1)
2.3 Family Dynamic Aspects
20(1)
2.4 Sociocultural Aspects
21(1)
2.5 Biological Aspects
21(2)
3 Diagnosis
23(10)
3.1 Operationalized Psychodynamic Diagnosis
23(2)
3.1.1 Axis I: Experience of Illness and Prerequisites for Treatment
24(1)
3.1.2 Axis II: Interpersonal Relations
24(1)
3.1.3 Axis III: Conflicts
24(1)
3.1.4 Axis IV: Structure
24(1)
3.2 Initial Interview and Deriving a Focus for Therapy
25(1)
3.3 Operationalized Psychodynamic Diagnosis of Anorexia Nervosa
26(4)
3.3.1 Relationship Patterns
26(1)
3.3.2 Topics of Conflict
27(3)
3.3.3 Structural Impairments
30(1)
3.4 Therapeutic Handling of the Focus
30(3)
4 Treatment
33(42)
4.1 Treatment Setting
33(1)
4.2 Therapeutic Framework
33(3)
4.2.1 Managing Weight
34(2)
4.3 General Principles of Therapy
36(6)
4.3.1 Basic Characteristics of Psychodynamic Therapy
36(1)
4.3.2 Handling of Transference and Countertransference Dynamics
37(1)
4.3.3 Work on Body Image
37(2)
4.3.4 Inclusion of the Family
39(3)
4.4 Treatment Setup and the Initial Phase
42(10)
4.4.1 Diagnosis, Therapeutic Alliance, and Deriving the Focus
43(1)
4.4.2 Basic Therapeutic Stance
43(2)
4.4.3 Working on the Therapeutic Alliance
45(3)
4.4.4 Uncovering Proanorexic Beliefs
48(2)
4.4.5 Focusing in on Self-Esteem Problems and Depressive Experiences
50(1)
4.4.6 Amendments to the Initial Phase
51(1)
4.5 Middle Phase (Working With the Focus)
52(13)
4.5.1 Basic Therapeutic Stance
53(1)
4.5.2 Focusing on Affective-Emotional Experiences
53(3)
4.5.3 Additional Work on the Relationship Focus
56(2)
4.5.4 Level of Structural Integration
58(7)
4.6 Closure Phase
65(5)
4.6.1 Basic Therapeutic Stance
65(1)
4.6.2 Stabilizing New Skills
66(1)
4.6.3 Applying New Skills in Day-to-Day Life
67(1)
4.6.4 Anticipating Relapses
67(1)
4.6.5 Persistence of Symptoms
68(1)
4.6.6 Follow-Up Care
68(2)
4.7 Procedural Challenges
70(3)
4.7.1 Strong Ambivalence
70(1)
4.7.2 Setting a Weight Goal (When Patients Are Unable to Formulate One)
71(1)
4.7.3 When Patients Hold Onto Their Anorexic Behavior, Even When Negative Consequences Escalate
71(1)
4.7.4 Weight Loss in Therapy, Particularly in Regard to Weight Manipulation
71(1)
4.7.5 Newly Emerging Bulimic Behavior
71(1)
4.7.6 Self-Injuring Behavior
72(1)
4.7.7 Medical Complications, Such as Dehydration
72(1)
4.7.8 Meddling by Others -- For Example, Family
72(1)
4.7.9 Handling the Indication for Inpatient Admission
72(1)
4.7.10 Excessive Endurance Sports
72(1)
4.8 Adjuvant Therapies
73(2)
4.8.1 Adjuvant Therapy With Psychopharmacology
73(1)
4.8.2 Adjuvant Intake of High-Calorie Dietary Supplements
74(1)
5 Case Examples
75(14)
6 Efficacy
89(12)
6.1 Research Background
89(2)
6.2 The ANTOP Study
91(10)
6.2.1 Design and Participants
91(1)
6.2.2 Weight Gain and Recovery
92(2)
6.2.3 Predictors of Outcome
94(1)
6.2.4 Therapeutic Process and Outcome
95(3)
6.2.5 Cost-of-Illness and Cost-Effectiveness Analyses
98(1)
6.2.6 Summary
99(2)
7 References
101(10)
8 Appendix: Tools and Resources
111(12)
Nutrition Guidelines for Patients With Anorexia Nervosa
112(7)
Weight Curve
119(4)
Contributors 123
Hans-Christoph Friederich; PhD; Clinical Institute of Psychosomatic Medicine and Psychotherapy, University Hospital Dusseldorf, Dusseldorf, Germany. Beate Wild; PhD; General Internal and Psychosomatic Medicine, Heidelberg University Hospital, Heidelberg, Germany. Stephan Zipfel; PhD; Psychosomatic Medicine and Psychotherapy, University Hospital Tubingen, Tubingen, Germany. Henning Schauenburg; PhD; General Internal and Psychosomatic Medicine, Heidelberg University Hospital, Heidelberg, Germany. Wolfgang Herzog; PhD; General Internal and Psychosomatic Medicine, Heidelberg University Hospital, Heidelberg, Germany.